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MS. PATRICIA JOHNSON MA, LMFT
NPI 1205908266
Marriage & Family Therapist in Spring Lake Park, MN

Active since November 14, 2006Opted out of Medicare · through Aug 5, 2028
1485 81ST AVE NE, SPRING LAKE PARK, MN 55432(763) 780-3036(763) 780-0784 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Patricia Johnson Ma, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PATRICIA JOHNSON MA, LMFT (NPI 1205908266) is an individual marriage & family therapist in Spring Lake Park, Minnesota, licensed in Minnesota (1019) and active in the NPI registry since November 2006. She has opted out of Medicare through August 5, 2028.

NPPES Registry Identity

NPI1205908266
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. PATRICIA JOHNSONCredential: MA, LMFT
Location Address1485 81ST AVE NESpring Lake Park, MN 55432-2111
Mailing Address26139 Galen DrWyoming, MN 55092-9341
Phone(763) 780-3036
Fax(763) 780-0784
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205908266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 1019
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1485 81ST AVE NE, Spring Lake Park, MN 55432
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Other Identifiers 4

Other168059MN · Ucare
Other53G98JOMN · Bcbs
Other62-55393MN · Medica
OtherHP38775MN · Health Partners

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Patricia Johnson Ma, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 5, 2024 through August 5, 2028.

Opt-Out Effective DateAugust 5, 2024
Opt-Out In Effect ThroughAugust 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL JOSEPH HILDEBRANT PH.D., L.P.
Psychologist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
DEANNE DEN HARTOG LMFT
Marriage & Family Therapist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
FAMILY STRENGTHS LLC
Marriage & Family Therapist
1485 81ST AVE NE, CENTRAL CENTERS FOR FAMILY RESOURCES
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
MS. ANGELA FOLIE PSY.D.
Psychologist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
MS. DAWN HOFSTAD STROMMEN MA
Counselor (Mental Health)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
PAUL WILLIAM MEUNIER MA
Counselor (Mental Health)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
MS. SUSAN S HARTMAN M.A. , L.P.
Psychologist (Clinical)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036
MS. PAULA M. OKORAFOR M.A.,L.P.
Psychologist (Counseling)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 780-3036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Johnson's NPI number?

The NPI number for Patricia Johnson is 1205908266. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Patricia Johnson located?

Patricia Johnson practices at 1485 81st Ave NE, Spring Lake Park, MN 55432. The listed phone number is (763) 780-3036.

What is Patricia Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Patricia Johnson enrolled in Medicare?

No. Patricia Johnson has opted out of Medicare through August 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Patricia Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.